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The main questions for behavior analysis are which factors, in a given historical situation, influence what someone does, and how these factors can be changed in order to affect behavior. The relationship between a specific act and the context in which it occurs is the point of interest.

Clinicians often integrate multiple therapeutic models to enhance their capacity to assist their clients. However, integration can be problematic without a disciplined, evidence-based approach to decision making.

Mixing models also raises the concern of losing treatment efficacy by deviating from validated protocols, something weakly supported by evidence, but still worth considering (see Koerner, 2018 for important insights about this concept).

Through trauma and loss, people can lose their sense of meaning, lose their feeling of identity or place in the world, and develop ongoing depressive, anxiety, and relational problems.

Mindfulness is the first crucial step in being able to step back from your reactions and do something healthy when trauma issues get stirred up. It’s one step in moving away from trauma and back into your life, and it’s relevant to everyone, whether or not they are survivors of some particular trauma.

If you haven’t seen it for yourself, you may be skeptical that real behavior change is possible in just one or two therapy sessions. After all, that’s not time enough to form a therapeutic relationship. But the reality is that evidence supports the value of brief interventions, including ACT.